Individual provider Active NPI

Colleen Elizabeth Tillson, MS, FNP-BC, CMSRN

  • Family Nurse Practitioner
  • Saratoga Springs, NY
National Provider Identifier
1790264000
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343123 Issued in NY
Practice address
211 Church St
Saratoga Springs, NY 12866-1090
Phone
(518) 587-3222
NPI assigned
Aug 8, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 343123 NY Primary

Addresses

Primary practice location

211 Church St
Saratoga Springs, NY 12866-1090

Mailing address

5773 Lake Rd
Galway, NY 12074-2810
Phone (518) 421-6544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200402002177 NY Practitioner - Nurse Practitioner 8628407236 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 353 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 300
Saratoga Springs, NY 12866-6050
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

3040 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 580-2273

3044 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 886-5800

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
97.33 of 100Reported as group
Improvement activities
40
Cost
77.32

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scotia Glenville Family Medicine, P.C. Single Specialty Current Accepting new patients
Saratoga Hospital Single Specialty Current Accepting new patients
Saratoga Regional Medical , P.C Single Specialty CurrentSince Mar 21, 2025 Accepting new patients
Saratoga Hospital Single Specialty CurrentSince Mar 21, 2025 Accepting new patients
Saratoga Hospital CurrentSince Mar 21, 2025 Accepting new patients
Saratoga Regional Medical , P.C Single Specialty Current Accepting new patients
Saratoga Regional Medical , P.C Single Specialty CurrentSince Mar 21, 2025 Accepting new patients
Wajeeh Sana Physician PC Single Specialty CurrentSince Jul 30, 2024 Accepting new patients
Upstate Ny Doctor of Medicine PLLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Saratoga Hospital Single Specialty Current Accepting new patients
Saratoga Hospital CurrentSince Mar 21, 2025 Accepting new patients
Saratoga Hospital Single Specialty CurrentSince Mar 21, 2025 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

510 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 289-2720

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

15 Maple Dell
Ste 1
Saratoga Springs, NY 12866
Phone (518) 583-7400

Interoperability endpoints

  • Direct secure messaging: ctillson102189@albanymed.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1790264000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5773 LAKE RD",
            "city": "GALWAY",
            "state": "NY",
            "postal_code": "120742810",
            "telephone_number": "518-421-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661090",
            "telephone_number": "518-587-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLSON",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MS, FNP-BC, CMSRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.